NPIMap

Organization Active NPI

Under Angel'S Wings Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1861100646
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
UNDER ANGEL'S WINGS RECOVERY CENTER, LLC
Practice address
5411 2ND Ave FL 1
Brooklyn, NY 11220-2664
Phone
(718) 374-5484
NPI assigned
Nov 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Vladimir Delbrune, MBA
Title
Billing Coordinator
Phone
(917) 362-4332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5411 2ND Ave FL 1
Brooklyn, NY 11220-2664

Mailing address

1588 E 58TH St
Brooklyn, NY 11234-4102
Phone (917) 620-0105

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.uawrecovery.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1861100646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 E 58TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344102",
            "telephone_number": "917-620-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 2ND AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202664",
            "telephone_number": "718-374-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDER ANGEL'S WINGS RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "DELBRUNE",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "917-362-4332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.uawrecovery.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5411 2nd Ave Fl 1",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112202664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.